the power of advocacy

2009 advocacy accomplishments

If one American CAN fight cancer, a nation CAN rise up and defeat it.
 Dear Friends,
John R. Seffrin, PhD
Congratulations to volunteers and staff nationwide on a monumental year for the American Cancer Society and the American Cancer
Chief Executive Officer
Society Cancer Action NetworkSM (ACS CAN), the Societys nonprofit, nonpartisan advocacy affiliate. The number of accomplishments
American Cancer Society and
weve achieved together is matched only by the enormity of those victories.
American Cancer Society
Cancer Action Network In 2009, ACS CAN seized a unique opportunity to help reform our nations health care system, a system we all know stands in the
way of the Societys ability to fulfill its mission to save lives from cancer. By building on the work the Society and ACS CAN began
several years ago to raise awareness of the lack of access to health care so many in America face, ACS CAN was able to leverage
its powerful grassroots movement to launch a dynamic campaign for health care reform and emerge as the leading patient voice
in the debate. By years end, thanks in good part to ACS CANs cancer advocates nationwide, Congress had made historic progress
towards enacting legislation that will dramatically expand access to quality, affordable care, focus on prevention, and significantly
improve quality of life for cancer patients and their families.

In another historic triumph, a decade-long fight to empower the Food and Drug Administration to regulate the sale, manufacture,
and marketing of tobacco products came to a successful conclusion. Another victory was the 62-cent increase in the federal cigarette
tax, which will further reduce tobaccos deadly toll.

Thanks to the hard work by Society Divisions with assistance from ACS CAN, 14 states and the District of Columbia also raised
tobacco taxes in 2009, with Florida and Mississippi doing so for the first time since 1990 and 1985 respectively. Meanwhile, Connecticut
and Rhode Island crossed the $3 threshold. And by years end, three more states had passed strong smoke-free laws, including
North Carolina, the nations leading tobacco growing state.

Finally, in an already banner year, federal cancer research and prevention programs received increased funding of more than $15 billion
in the American Recovery and Reinvestment Act of 2009 and the 2009 and 2010 federal budgets after years of stagnation and outright cuts.

The year also marked the departure of Dan Smith, who oversaw our national advocacy efforts on behalf of cancer patients for a
decade, first as the head of the Societys National Government Relations Department, and later as president of ACS CAN. He led
ACS CAN to great success, helping to transform advocacy at the Society, including the creation of ACS CAN and the growth of its
dedicated legions of grassroots supporters. In early January 2010, Dan left ACS CAN for a professional opportunity in the U.S. Senate,
where he will continue to work to help better public health and fight for people facing cancer.

Every day, American Cancer Society and ACS CAN supporters do so much to help save lives when they fight back against cancer,
whether its by contacting an elected official, attending an advocacy event, or standing up and speaking out in so many other ways.
Thank you for all you do to make our continued success possible. With your help, our nationwide grassroots movement will continue
to give ordinary people extraordinary power to fight cancer. And together, we will save lives and create a world with less cancer
and more birthdays.

1
2009 advocacy accomplishments report

table of contents

Mission Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Dedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Advocacy Awards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
The Power of Advocacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Leadership Summit and Lobby Day . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Advocacy and Relay for Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Cancer Disparities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Access to Care/Health Care Reform . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Federal and State Highlights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Historic Wins for Public Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
State-by-State Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Reducing Tobaccos Toll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Donor Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
CAN Opener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Special Thanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

2
Advocacy Accomplishments 2009
mission statement
describes how ACS CAN and Society
Divisions work in partnership through
advocacy to eliminate cancer as a
major health problem. ACS CAN
conducts federal advocacy campaigns
nationwide and leads state and local
advocacy campaigns in the 12 states
of the Society's Great West Division.
In the remaining 38 states, state
and local advocacy campaigns are
directed by Society Division staff. American Cancer Society
The Society's National Home Office The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health
problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and service.
grants funds in support of ACS CAN
and Division advocacy efforts. The Society's national headquarters is located in Atlanta, Georgia, and its 13 Divisions nationwide carry out the Society's mission at the state and local level.

American Cancer Society Cancer Action Network

ACS CAN, the nonprofit, nonpartisan advocacy affiliate headquartered in Washington, D.C.,
supports evidence-based policy and legislative solutions designed to eliminate cancer as a
major health problem. ACS CAN works to encourage elected officials and candidates to make
cancer a top national priority. ACS CAN gives ordinary people extraordinary power to fight
cancer with the training and tools they need to make their voices heard.

3
dedication Carole Granderson
Advocacy Accomplishments 2009 is dedicated
to our friend and colleague Carole Granderson,
who passed away on December 18, 2009.

Carole first came to work for the American

Cancer Society National Government Relations
Department (now ACS CAN) as a temporary
employee in 2001. She soon proved to be an
indispensable part of the team and was offered a
full-time position. Ironically, she was diagnosed
with breast cancer a short time later. Carole
faced the disease as she did everything else in
life in a straight-forward manner and with
good humor. At the time of her death, she was
a seven-year cancer survivor.

Although much of Caroles work was often

done behind the scenes, her contributions were
invaluable to helping ACS CAN grow and thrive.
Among her many duties, she was the person
who made sure that each new ACS CAN member
was acknowledged and that existing members
were invited to renew. Carole often remarked
how fortunate she felt to work at ACS CAN,
especially after she was diagnosed, but the truth
is, it was ACS CANs extraordinary fortune to have
had Carole. She was the everyday embodiment
of why the Society and ACS CAN's work is so vital.

Carole valued family above all. She is survived

by four children, 10 grandchildren, a sister,
brother-in-law, and innumerable nieces,
nephews, cousins, and friends. Her ACS CAN
family mourns her passing as well. Her memory
will be a continued source of inspiration as we
work to fulfill the Society and ACS CANs mission
to save lives from cancer.

4
 ACS CAN leadership

Chief Executive Officer Chair

John R. Seffrin, PhD Robert E. Youle, Esq.

ACS CAN Board of Directors, 2008-2009
Kathleen M. Bond
William H. Boykin, Jr., MD
Deborah J. Cornwall
Elizabeth T.H. Fontham, MPH, DrPH
Lewis E. Foxhall, MD
Laura J. Hilderley, RN, MS
Robert R. Kugler, Esq., Treasurer
Mary Maryland, PhD
Karen A. Moffitt, PhD
ACS CAN Board of Directors, 2009-2010
Gary M. Reedy, Secretary George W.P. Atkins
Christy A. Russell, MD Kathleen M. Bond, Secretary
Peter S. Sheldon, Esq. William H. Boykin, Jr., MD
Gary Streit, Esq. Deborah J. Cornwall
Stephen L. Swanson Lewis E. Foxhall, MD
Eric W. Taylor, MD Robert R. Kugler, Esq., Treasurer
Phylecia Wilson Mary Maryland, PhD
Van Velsor Wolf Karen A. Moffitt, PhD
Gary M. Reedy
William G. Robbins
Christy A. Russell, MD
Peter S. Sheldon, Esq.
Gary Streit, Esq.
Stephen L. Swanson
Eric W. Taylor, MD
Alan G. Thorson, MD, FACS
Phylecia Wilson

5
 recognizing excellence and achievement

2009 ACS CAN National

Advocacy Leadership Awards

The National Distinguished Outstanding State Outstanding Volunteer Team The Alan Mills Award Outstanding Non-Advocacy
Advocacy Award* Lead Ambassador Presented by ACS CAN to a group of ACS CANs highest honor for advocacy Professional Award
ACS CANs highest national advocacy Presented by ACS CAN to a volunteer volunteers that demonstrates strong staff, presented to the individual who Presented by ACS CAN to non-advo-
award, presented to individuals who who demonstrates exemplary leader- cohesion and cooperation in fighting best embodies the passion and dedi- cacy professional staff whose collabo-
demonstrate outstanding leadership ship in the State Lead Ambassador role cancer through advocacy cation of the late Alan Mills, a former rative efforts further the achievement
in the public policy arena Society staff lobbyist and founder of of advocacy-related mission goals
Patty Avery Pennsylvania
the Societys National Government
The Honorable Henry Waxman Indiana Lesa Foster
Judicial Advocacy Award Relations Department
United States House of Regional Vice President
Outstanding Ambassador for Excellence
Representatives, California Sharlene Bozack High Plains Division
Constituent Team Lead Presented by ACS CAN to recognize
Great West Division
The Honorable Ted Deutch Presented by ACS CAN to volunteers attorneys whose pro bono services Outstanding Government
Florida State Senate who demonstrate superlative abilities support the ACS CAN Judicial Advo- Outstanding Government Relations Team Award
in the Ambassador Constituent Team cacy Initiative Relations Professional Presented by ACS CAN to one or
The Honorable Hugh Holliman
lead role Award more teams of government relations
North Carolina State House William OBrien
Presented by ACS CAN to a government professionals for significant achieve-
of Representatives Betty Clementz McKenna, Long & Aldridge, LLP
relations professional for singular ments in state and federal advocacy
Illinois Washington, D.C.
The Volunteer for Excellence achievement in state advocacy
Federal: Nebraska
in Advocacy Award* Ruth Pechin Outstanding Grassroots
Kimberly Hughes
ACS CANs highest honor for volunteer Washington State Professional Award State: North Carolina
Mississippi
advocacy, presented to individuals who Presented to a grassroots professional for
Ellen Stephenson
consistently demonstrate excellence singular achievement in volunteer re-
Florida
in public policy cruitment, education, and mobilization
Eric W. Taylor, MD Hillary Clarke
Great West Division New York
* An ACS CAN volunteer work group selected the National Distinguished Advocacy Award and the Volunteer for Excellence in Advocacy Award. 6
the power of advocacy
advocacys role in the fight against cancer
Advocacy is powerful to me because it is the best way I can
make a difference for my brothers and sisters fighting cancer.
Mary Grant-Young, Ambassador Constituent Team Lead, California
7
Winning the war on cancer is as much of a public policy challenge as it is a scientific and medical
challenge. From ensuring that all Americans have adequate, affordable health insurance, to enacting
laws proven to reduce tobacco consumption, to increasing funding for cancer research and programs,
interaction with local, state and federal governments is constantly required. Thats why the American
Cancer Society and its nonprofit, nonpartisan advocacy affiliate, the American Cancer Society Cancer
Action Network (ACS CAN), work together to ensure that elected officials across the country make
cancer a top national priority.
The Society and ACS CAN utilize applied policy analysis, direct lobbying, grassroots action, media
outreach, and litigation to accomplish advocacy goals, but science remains paramount. Only evidence-
based policy and legislative solutions are pursued. Together, the Society and ACS CAN support a
community-based grassroots network of cancer patients, survivors, caregivers, volunteers, staff,
health care professionals, public health organizations, and other partners that ensures the cancer
communitys voice is heard.
Advocacy and ACS CAN
In 2001, legislative advocacy took a major step forward with the creation of ACS CAN. The ACS
CAN movement unites and empowers cancer patients, survivors, caregivers, and their loved ones
by giving them the training and tools needed to make them heard in the halls of government. With
more than 180,000 new volunteers recruited in 2009, ACS CAN is a powerful force behind
legislative victories and policy successes that help save lives.
The Heart of the Movement
At the heart of the ACS CAN movement is the volunteer-led Ambassador Constituent Team (ACT!).
Established in 2007, ACS CANs grassroots model energizes volunteers, nurtures a new generation
of leaders, and inspires others to join the ACS CAN movement. Working closely with Division staff
partners, these teams handle critical activities in each state to support advocacy campaigns.
Each team member has a clearly defined role. Fifty-one State Lead Ambassadors (SLA), one for each
state and the District of Columbia, oversee activities in their states congressional districts and serve
as the main contact for their U.S. senators. Congressional district leads head up each ACT! and
work with their state lead and Division staff partner to recruit and support chairpersons whose roles
mirror the most critical components of successful advocacy campaigns integrating advocacy and
ACS CAN into Relay For Life, fundraising, media outreach, and mobilization.
As voters and constituents who care about cancer, Society Division and ACS CAN advocates actively
engage their elected officials. They write letters and send emails. They make calls and meet with
legislators. They alert the media and rally for the cause. They speak out, knowing their voices are the
ones that most influence governments to act.
8
Knowledge Is Power
Empowerment begins with skills, tools and information. Trainings and tactical support provide the foun-
dation on which the ACS CAN movement stands. A virtual community acscan.org/volunteerstructure
provides a forum in which volunteers can find information, access tools, and share best practices.
Volunteers can also learn more about ACS CAN policy priorities through the sites training modules.
In April 2009, ACS CAN hosted the third annual SLA Summit in Austin, Texas. The theme of this
signature training event for SLAs and their staff partners was The Seven Habits of Highly Effective
SLAs. Attendees also received intensive training on issues related to health care reform and other
federal and state priorities.
Innovative Communication
As Americans continue to expand the ways in which they communicate, ACS CAN has kept pace
with an active presence on social networking sites such as Facebook, MySpace, and YouTube.
Advocates use these sites to learn about legislative issues and take action. They also use them to
recruit new volunteers more than 50,000 in 2009 alone and share their cancer experience with
friends and family. Enhancements to acscan.org empowered advocates to send nearly 130,000
electronic messages to Congress and the president on various issues throughout the year. In
9
addition, acscan.org saw a 67 percent increase in visitors to the site over 2008, resulting in nearly
675,000 site visits.
ACS CANs mobile action network offers an especially convenient communications option. By texting
volunteer to 73585, a person can begin receiving action alerts and legislative updates via cell
phone. Text messaging is also a successful tool for recruiting volunteers who may not be at a computer
when they first learn about ACS CAN or when urgent alerts are issued.
Partnering for Success
Recognizing that partnerships and collaborations are critical to ensuring success, ACS CAN engages
in a variety of outreach activities that promote and leverage the organization and mission. In 2009,
ACS CAN led and participated in numerous coalitions supporting mission-based legislative objectives
and served as the leading patient advocacy organization in a number of collaborations, many of
them focused on health care reform.
This year also represented the first full year of the ACS CAN Corporate Members program. Fifteen
companies collaborated with ACS CAN on areas of mutual interest and helped provide critical
financial support for ACS CANs mission.
 the ACS CAN Leadership Summit and Lobby Day
Advocacy in the Courts
The 2009 ACS CAN Leadership
Court cases across the nation determine a wide range of issues
affecting mission, from the employment rights of cancer patients Summit and Lobby Day marked the
and survivors to the accessibility of quality medical care. To better third year ACS CAN has convened its
pursue mission through the judiciary and expand an active
enhanced volunteer structure for
legal portfolio beyond tobacco-related issues, ACS CAN
launched the Judicial Advocacy Initiative (JAI) in 2008. JAI training and congressional office
draws on the expertise of law firms donating their services and visits. The nearly 600 participants
in house counsel to ensure that courts consider science-based
included State Lead Ambassadors,
information when rendering judgment in cases that impact
cancer patients and survivors. Ambassador Constituent Team
leads, and Society Division staff
In JAIs inaugural year, ACS CAN weighed in with friend of the
partners from all 50 states and the
court briefs in two important access to care cases. In addition,
JAI enabled ACS CAN to weigh in on federal regulations per- District of Columbia.
taining to employment discrimination, medical privacy, and
access to breast and cervical cancer screenings for low-income,
Held September 20-23, 2009, the
underserved women.
Leadership Summit consisted of
The Power of Our Movement 2 1/2 days of briefings and training
To put cancer at the top of the nations agenda, only a movement
sessions that bookended lobby day.
that is organized and relentless in prompting lawmakers to act
will succeed. ACS CAN is that movement, working to prove Highlights included remarks by Bob
that if one American can fight cancer, a nation can rise up to Schieffer of CBS News Face the
defeat it.
Nation; Ann Marie Morse, mother of Michelle Morse, the inspiration for Michelles Law; and Josh Sundquist, cancer
survivor and paralympic skier. In addition, issue- and skill-building workshops prepared volunteers and staff partners
for lobby day meetings and equipped them to better pursue federal and state advocacy goals after returning home.

I want to tell the stories of those who cannot tell their own
stories to those who are in a position to do something
to change the endings of those stories."
Jack Robinson, Ambassador Constituent Team Lead,
Nebraska, 1st Congressional District
On lobby day a total of 447 meetings were held with members of Congress, including with all 100 U.S. Senate offices.
Advocates urged their elected officials to put aside partisan politics and pass meaningful health care reform.
For the second year in a row, ACS CAN welcomed to lobby day five National College Athletic Association (NCAA)
basketball coaches who take part in Coaches vs. Cancer , an effort that unites the Society and the National
Association of Basketball Coaches in the fight against cancer. The coaches joined U.S. Health and Human Services
Secretary Kathleen Sebelius, Minnesota Senators Al Franken and Amy Klobuchar, and other members of Congress at
a rally that enjoyed broad media coverage to urge Congress to pass health care reform. The coaches later joined
ACS CAN volunteers and staff for legislative meetings.
 advocacy and Relay for Life The thriving partnership between Relay For Life, the
Societys signature fundraising event, and advocacy
marches on, with more Relays integrating advocacy
into their events and more Relay volunteers embracing
advocacy as a powerful means of fighting back
against cancer than ever before. With more than 3.5
million participants in 5,000 communities nationwide,
Relay participants are in the vanguard of the ACS
CAN movement.

In 2009, Relay celebrated its 25th year. To mark

this milestone, participants were asked to find an
extra hour each day a 25th hour to fight
back against cancer. ACS CAN challenged Relay
participants to use that time to make a difference
through advocacy. Thousands responded by signing
petitions, becoming ACS CAN members, and
sharing their advocacy hour experiences online.

More than 32,000 electronic and handwritten

Picture A Cure messages, in which individuals
share their personal cancer stories and photos
with lawmakers, were collected at Relay events
nationwide. The testimonials, which were delivered
to members of Congress in their district and
Washington, D.C. offices, urged lawmakers to
make access to cancer care and health care reform
top national priorities.

Nearly 9,000 Relay participants, most of them taking

action through ACS CAN for the first time, sent
approximately 18,500 emails to Congress in the
weeks leading up to the final vote that assured
passage of the Family Smoking Prevention and
Tobacco Control Act, which gave the Food and Drug
Administration the authority to regulate the sale,
manufacture, and marketing of tobacco products.

Nearly 16,000 Relay participants joined ACS CAN

for the first time in 2009.

11
 cancer disparities
Despite notable progress, the uninsured, minorities and other medically underserved populations
are still not benefiting fully from advances in cancer prevention, screening and treatment. The
nexus between such disparities and advocacy, the two pillars supporting the American Cancer Societys
leadership roles, is strong. The Society and ACS CAN strive to help create, change and influence
public policies that significantly reduce disparities and promote outreach to diverse communities.
To better explain the health coverage needs of the nations most vulnerable citizens, the Society released
Cancer Disparities: A Chartbook, a comprehensive tool to educate multiple audiences about health
disparities and how ACS CAN is working to address them through legislation and public policy.
Interactive training and an ACS CAN-led advocacy workshop at the Societys 2009 Disparities
Conference, Health Equity: Through the Cancer Lens, also served this purpose and highlighted
how ACS CANs grassroots movement can be deployed effectively to fight disparities.
The Society and ACS CANs joint Access to Care initiative (see pages 15-18) figures prominently.
Minorities are more likely to be inadequately insured or uninsured. While addressing these issues
would not completely solve the problem of health disparities, achieving greater access to quality,
affordable healthcare would be a major step forward. This is a key motivator behind ACS CANs
health care reform campaign, the legislative piece of access to care.
In addition to pursuing meaningful health care reform, ACS CAN continues to work with Society
Divisions to advance other legislation to reduce disparities. These efforts include creating,
expanding and funding breast, cervical and colorectal cancer early detection and treatment programs
for low-income, uninsured, and underinsured adults. The Society-ACS CAN partnership is also
fighting to expand Medicaid coverage for smoking cessation services. In addition, ACS CAN is
engaged in efforts to increase the federal investment in the National Center on Minority Health
and Health Disparities at the National Institutes of Health. Finally, ACS CAN continues to urge the
federal government to place trained patient navigators in health facilities to assess individual and
community needs and guide patients through the nations fragmented health care system.
To accomplish their goals, the Society and ACS CAN collaborate with many partners on health
policy, legislative campaigns, and grassroots training, such as the Intercultural Cancer Council, the
Congressional Black Caucus Foundation, and the National Council of La Raza. An especially close
alliance has developed in recent years with Zeta Phi Beta Sorority, Inc., Alpha Phi Alpha Fraternity,
Inc., and Phi Beta Sigma Fraternity, Inc. and its Sigmas Waging War Against Cancer initiative. ACS
CAN will continue to work with these partners to push important legislation that impacts the minority
community such as tobacco control, cancer research funding, and access to health care.
12
access to care and health care reform

seizing a mission-critical opportunity

Our nation is making progress in the fight against cancer. Sixty percent of
cancer deaths are preventable. Scientific breakthroughs are leading to
better screening tests, treatments, and prevention methods. Yet, millions
of Americans are not benefiting. Sky-high out-of-pocket costs prompt
thousands of patients to skip tests, postpone treatments, or stop receiving
care. Meanwhile, many patients and survivors are either denied coverage
or charged amounts they cannot afford for lifesaving care.

Holes in the nations current system contribute to needless cancer suffering

and death. To meet the Societys 2015 goals of reducing cancer incidence
and mortality, these holes must be closed. In 2006, the Societys National
Board of Directors recognized that the status quo is unacceptable and that
fundamental change in the health care system is necessary to achieve mission.

The Society and ACS CAN launched the nationwide Access to Care initiative
in September 2007 to raise the issues profile, a move in keeping with the
Societys long history of educating the public about important cancer issues.

ACS CAN was charged with carrying out the major legislative piece of access
to care health care reform to help ensure that Americans have access
to quality, affordable care. By seizing this opportunity, ACS CAN sought to
improve access to quality care for all Americans and realize a future where
cancer is no longer a major health issue.
The Leading Voice for Patients
With 46 million people in America uninsured and another 25 million underinsured, Americans
increasingly saw health care reform as a top priority leading into 2009. By early 2009, the push
for reform was the strongest it had been in more than a decade, with a new president, Congress,
and a broad cross-section of the health care community committed to finding a sustainable solution
to the nations health care crisis.

Since it was launched, the Society and ACS CANs Access to Care initiative has done important
work to move the access debate forward and position ACS CAN as a leader in the fight for health
care reform. Known as an honest broker focused on patients, not politics, ACS CAN became
the leading voice for patients among the major stakeholders legislators, policymakers, large and
small business interests, insurers, unions, consumer and patient advocates, health providers, and
pharmaceutical companies working to deliver on the promise of meaningful reform.

ACS CAN helped shape the debate and ensure that the voices of cancer patients, survivors, and
caregivers were heard. A far-reaching, multi-faceted issue campaign acted as an amplifier, buttressed
by the integrity of ACS CANs policy analysis and the power of its grassroots movement. ACS CANs
role was deeply felt and translated into clout on Capitol Hill and in the White House, where ACS CAN
represented the larger patient community in stakeholder meetings over a period of many months.
During the first health care summit convened by President Barack Obama, then-ACS CAN president
Dan Smith made the case for health care coverage that is affordable, adequate, accessible,
and administratively simple to all Americans. Smith emphasized disease prevention, adequate Evidence-based Principles, Mission-based Priorities
care, and strong tobacco control policies that would include higher tobacco taxes. ACS CAN The essential questions for the Society and ACS CAN in deciding whether to support reform legislation
volunteers and staff subsequently attended all five of the White Houses regional summits to have always been: Does it represent significant progress toward achieving the Societys mission?
make similar points. Will the law help prevent and detect cancer, treat it effectively, and provide the very best quality
of life for cancer patients? The answers lie in evidence-based health policy.
Society and ACS CAN representatives counseled the White House and Congress on other occasions
as well. The Societys chief medical officer, Otis W. Brawley, MD, offered his perspective at a White A series of volunteer-led policy review groups beginning in 2006 examined the problems cancer
House meeting that brought together physicians representing various disease groups and professional patients experience in the nations health system and identified potential solutions in keeping with
specialties. Brawley also testified twice before Congress. In addition, J. Leonard Lichtenfeld, MD, the Society and ACS CANs deliberative and scientific approach to policy development. Three statements
MACP, the Societys deputy chief medical officer, attended a nationally televised White House town of principles emerged What Constitutes Meaningful Health Insurance, The Role and
hall meeting hosted by ABC News. In October, First Lady Michelle Obama invited ACS CAN volunteer Consideration of Costs, and Prevention in a Transformed Health System to inform the Access
and breast cancer survivor Joni Lownsdale of Illinois to speak about her difficulty in obtaining insurance to Care initiative and serve as the basis for ACS CANs mission-based legislative priorities:
coverage at a White House event marking National Breast Cancer Awareness Month.
Ensure that all Americans have access to meaningful health care reform that is adequate, affordable,
Moreover, as various bills moved through the legislative process, ACS CAN was in constant available, and administratively simple.
communication with key legislators from both political parties, top congressional staff, and senior
White House and administration officials to affirm legislative priorities, share cancer patients stories Transform the current sick care system into one that places greater emphasis on disease prevention.
and insights, provide policy analysis, and offer constructive feedback on viable proposals.
Emphasize patient-centered care that stresses quality of life through the end of life.

14

Throughout the health care debate, ACS CAN, like Society Divisions faced with statewide proposals,
used established principles to determine whether proposed legislation met or fell short of ACS CANs
priorities. ACS CANs analysis and commentary was then funneled back to lawmakers.
Framing the Issue: The Cancer Lens
A central tenet of the Society and ACS CANs joint Access to Care initiative was to frame the issue
through the cancer lens. Drawing on the obstacles cancer patients experience in obtaining and
paying for medical care, the cancer lens paints a clear picture of how pervasive and pernicious
lack of access can be. As serious legislative attempts gained traction, stakeholders from the gov-
ernment, private, and nonprofit sectors alike came to appreciate how the cancer lens captures
the issues in an easily understood manner.
Even President Obama cited the cancer patients experiences to call out problems in the health
care system. Among the stories he told often was that of Laura Klitzka, a breast cancer patient
from Green Bay, Wisconsin, who came to the White Houses attention through the Societys Midwest
Division. Klitzka introduced the president at a town hall held in Green Bay in June and later sat
with the first lady during the presidents September 9 address on health care to a joint session
of Congress.
Real People, Real Problems
Many of the stories used to illustrate the cancer lens come from the Health Insurance Assistance
Service (HIAS) within the Societys National Cancer Information Center. Since 2005, HIAS specialists
have advised cancer patients who are having difficulty getting the care they need because they either
lack insurance or the insurance they have is inadequate. Over the past five years HIAS has worked
on more than 27,000 cases from 49 states and the District of Columbia.
Information from HIAS callers is captured in an internal database and used to identify broader
trends. ACS CAN works with the news media to highlight callers who wish to share their stories
with a wider audience. In the past year, HIAS callers were featured on NBCs Today show, and in
the Los Angeles Times, the Indianapolis Star, and Jet magazine.
15
No one should be denied access to care for
any reason. I am lucky to have insurance,
but I know many people who dont.
Rebecca Stafford, ACT! lead, California
In February 2009, the Society and the Kaiser Family Foundation profiled 20 HIAS cases in a report
titled Spending to Survive: Cancer Patients Confront Holes in the Health Insurance System. The re-
port illustrated the challenges cancer patients face in paying for lifesaving care, even when they
have insurance. ACS CAN followed up with a briefing for congressional staff on the problem of
the under-insured, using stories from the Spending to Survive report. Broad media coverage of
the report included stories on the CBS Evening News, as well as in The New York Times and Time
magazine. The Society and Kaiser teamed up again in July to issue a follow-up report, Patients
Under Pressure: Profiles of How Families Affected by Cancer are Faring in the Recession.
The fight to expand access to care was also fought in the courts. Through its Judicial Advocacy Initiative
(see page 10), ACS CAN partnered with the Societys Great West and South Atlantic Divisions and
other public health groups to file friend of the court briefs in two state courts in support of plaintiffs
whose cases could determine whether millions of people can access lifesaving cancer treatment
and follow-up care.
Policy, Research and Polling
Original policy research contributed positively to the debate, too. With some stakeholders suggesting
that the public have access to the same coverage as members of Congress, ACS CAN worked
with the Georgetown University Health Policy Institute to assess whether the most popular health
plan among federal employees offers adequate and affordable care for people with serious chronic
diseases. The ensuing report concluded that the plans coverage was a good starting point for
defining minimum coverage benefits in health care reform legislation.
In addition, ACS CAN published Cancer and Medicare: A Chartbook to provide an overview of cancer
among the elderly and how much Medicare spends on cancer. The Chartbook underscored ACS
CANs role as a critical resource for policy information during the health reform debate, which in
turn helped ACS CAN drive the debate itself.
Polling research also made an impression as ACS CAN conducted an exclusive national poll of cancer
patients and their families. The poll found that one in four people currently receiving cancer-related
care delayed treatment in the past year, and nearly one in three people under the age of 65 had
been uninsured at some point since their diagnosis. More than 40 percent had trouble affording
care in the past few years. These troubling results underscored the immediate need for meaningful
health care reform.
Action: Now Not Later
Opportunities to enact meaningful reform have been few and far between in the nations history.
To keep the pressure on, ACS CAN invoked the Action: Now Not Later theme in its campaign
messaging and materials as lawmakers were drafting legislation. The message: Congress must
act now on passing meaningful health care reforms. Waiting is not an option for cancer patients.
Converging on Capitol Hill
Three separate lobby days in 2009 gave cancer advocates the chance to make the case for reform in
the halls of Congress. In May, ACS CAN brought 13 HIAS callers and their caregivers to Washington,
DC to share their stories in 36 separate meetings on Capitol Hill. They also participated in a standing-
room-only press conference with members of the House Cancer Caucus, which garnered local TV,
print, and online coverage in more than 50 markets. ACS CAN also gave the patients and caregivers
the opportunity to tell their stories in videos that were posted on acscan.org and social media sites
and distributed to the news media.
Just two months later, ACS CAN sponsored a second lobby day for State Lead Ambassadors (SLAs),
the top 51 advocacy volunteers within ACS CANs grassroots structure, and their Society Division
staff partners. This lobby day carried the same urgent Action: Now Not Later message. In September,
the SLAs and staff partners returned along with their congressional district volunteer leaders for
the annual ACS CAN Leadership Summit and Lobby Day. Nearly 600 advocates converged on the
Capitol to carry the Action: Now Not Later message to 447 meetings with lawmakers and staff,
including with all 100 Senate offices (see page 10).
Advertising
Advertising was a critical part of the Action: Now Not Later campaign. In May, a series of print
advertisements began running in Capitol Hill publications that contrasted what acting now
would mean for example, access to a test that catches cancer early versus later a late
diagnosis that results in financial ruin and premature death.
To target Congress in a unique way over the summer, ACS CAN blanketed the Washington, DC
subway station nearest the U.S. House of Representatives with the ads, placing them on the walls,
floor, pillars, and billboards. In addition, cancer survivors Jacqueline and Jim Eyler hosted a video
tour of the station on acscan.org for those who could not see it in person. Finally, subway trains
serving the station most U.S. Senate staff use were shrink-wrapped with the Action: Now, Not
Later message, and placards were placed inside the cars. ACS CANs innovative presentation
sparked news coverage in The New York Times PR Week, and National Journal.
16
In the fall, Action: Now Not Later hit the airwaves when ACS CAN debuted its first solo television
spot on national cable news stations and in the Washington, DC television market during the Sunday
morning news shows. The ad featured Dan Brodrick of Tennessee, a HIAS caller who lost his wife,
Sharon, to cancer because she could not obtain insurance due to an unrelated pre-existing condition.
The medical bills rose to $80,000 and two years after Sharon's death, Dan is still trying to pay off
$23,000 in debt he incurred while trying to keep her alive. News coverage about the spot appeared
in The Washington Post and on WVLT, Knoxville, Tennessees local CBS station. Subsequent print
ads also told the Brodricks story.
Grassroots Action
Action: Now Not Later was the message ACS CANs grassroots advocates conveyed to Congress,
but the message could also apply to the sense of purpose with which they approached the issue.
As the campaign moved into January 2010, the numbers were staggering. More than 100,000
phone calls were placed to targeted legislators. A total of 20,000 messages were sent electronically,
and more than 400 district office meetings with lawmakers and staff were held.
ACS CAN also engaged 15,000 new activists through social networks and online campaigns like
50 Ways in 50 Days, which offered volunteers a new action that they could take every day for
50 days to help pass health care reform. In addition, a special health care reform Web page,
acscan.org/healthcare, was set up to keep the public informed.
17
Even as news reports emphasized heated rhetoric, ACS CAN volunteers engaged in a civil and
constructive manner. Throughout the August congressional recess, they participated in forums
and town hall meetings on a near daily basis, including one hosted by President Obama in
Portsmouth, New Hampshire. In more than 100 events in targeted congressional districts nationwide,
ACS CAN volunteers reminded lawmakers that health care reform is about patients, not politics.
Armed with legislative kits, stickers, banners, and other materials, the volunteers educated their
communities and built support for reform. Rallies, candlelight vigils, and story hours, where
giant books featured cancer patients seeking a happy ending, inspired others and attracted
local media.
Grassroots activities continued into the fall. In late September, fresh off the excitement of the
annual ACS CAN Leadership Summit and Lobby Day, leading advocacy volunteers and their staff
partners planned their 4 by 4 mobilization, implementing at least four activities to rally support
for reform over four weeks. As the campaign stretched into December, advocates embraced the
holiday season with the 12 Days of Health Care Reform, which included activities such as
volunteers delivering stockings stuffed with Action: Now Not Later postcards and wrapped gift
packages with a message to Wrap up health care reform this December to congressional
district offices.
Finding Common Ground
ACS CAN partnered with a wide range of organizations in support of health care reform through-
out 2009, often serving as the leading patient advocacy group in several prominent collaborations.
Some alliances connected ACS CAN with non-traditional partners, like the Health Reform Dialogue,
where ACS CAN was the sole patient-centered group among 17 major health care stakeholders
seeking common ground. ACS CAN worked with several prominent national organizations,
including AARP, Consumers Union, and the Service Employees International Union in Washington,
DC and around the country. In addition, Healthy Economy Now brought together a diverse set of
groups representing biotechnology, business, consumers, insurers, medical device manufacturers,
pharmaceutical companies, physicians, and union members. The coalition sponsored two national
television ads suggesting that fixing health care is critical to fixing the economy.
ACS CANs ongoing collaboration with the American Diabetes Association (ADA) and American
Heart Association (AHA) in the Preventive Health Partnership extended to health care reform as
well, as the group teamed up with three U.S. Senators on a press conference and briefing on the
role of prevention in health care reform.
The three groups also voiced collective concerns about a provision that seemingly promoted wellness
in the workplace through discounted insurance premiums for employees meeting certain health
and fitness targets. While the Society and ACS CAN, along with the ADA and AHA, strongly support
employer wellness programs that encourage healthy behaviors, these programs should not penalize
less healthy employees with higher insurance rates. ACS CAN staff briefed 150 members of the
House of Representatives and led more than 100 other organizations in successfully persuading
the House to drop language from its bill that would allow insurers to charge employees substantially
higher premiums if they fail to meet wellness targets, essentially permitting premiums to be set
based on health status and pre-existing conditions.
Voices Heard, Influence Felt
As the process continued to move forward in Congress, ACS CAN applied its mission-based policy
priorities to all the legislative proposals brought forward in order to gauge how each piece of legislation
would affect cancer patients. In the end, legislation produced by both chambers of Congress made
great progress in helping cancer patients and their families. The bills included a number of strong
provisions that would significantly improve the health care system, including emphasizing prevention;
guaranteeing quality, affordable coverage regardless of pre-existing conditions; eliminating lifetime
coverage limits; covering routine health costs for those who enroll in clinical trials; and emphasizing
patients quality of life.
ACS CAN scored a significant victory in restoring language to the Senate bill that eliminated annual
benefit caps, preventing insurers from suddenly terminating cancer patients coverage, especially
during active treatment. After noticing a loophole that would have permitted insurance compa-
nies to impose benefit caps, ACS CAN made Congress, the administration, and the media aware
of the issue. A series of discussions with senior Senate staff and top White House aides resulted
in the provision being rewritten. As a result of ACS CANs leadership and vigorous outreach, the
Senate bill assured annual limits would be sufficient to cover essential benefits for all patients, and
banned annual coverage limits after 2014.
By the end of 2009, both the House and the Senate had passed their own versions of health care
reform legislation in historic votes and the nation was on the verge of enacting historic, sweeping
reforms that could dramatically improve the health care system for people with cancer and other
life-threatening chronic diseases.
Advancing the Mission
Society Division and ACS CAN volunteers and staff can be proud of what has been accomplished,
not just on the legislative front in 2009, but of all that has ensued since the joint Access to Care
initiative was launched. The work will and must continue. Advancing meaningful health care reform
is just one part of the Society and ACS CANs broader goal to expand access to quality care nationwide.
Passing legislation is the end of the beginning, not the beginning of the end. Moving forward, the
Society and ACS CAN will continue to lead the way, achieve results, and make a major contribution
on behalf of those fighting cancer.
American Cancer Society
nationwide goals on access to care
These goals were adopted by the Society's National Board of Directors in 2006
By 2015, the proportion of individuals without any type of health care coverage will
decrease to zero percent.
By 2015, the proportion of individuals diagnosed with cancer who report difficulties
in obtaining medical care due to high out-of-pocket costs will decrease to two percent.
18
federal and state highlights
I am involved in advocacy to keep the voices
of cancer patients front and center.
Christina Voss, State Lead Ambassador and
Ambassador Constituent Team Lead, Michigan
19
Advocacys contribution is underscored by the fact that it, along with the elimination of disparities,
serves as a pillar supporting the American Cancer Societys nationwide leadership roles. These roles
are areas the Society has identified as where it can have the most impact: supporting high-impact
research; preventing cancer and detecting it in its earliest stages; fostering better decision-making
through information; and improving quality of life for cancer patients, caregivers and survivors.
Advocacy efforts, including those funded through Society grants to ACS CAN, are targeted within
these roles to achieve maximum results.
Research
After six years of flat or reduced federal funding for medical research, ACS CAN triumphed in
getting the nations investment in biomedical research back on track with passage in February
of the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA provided $10.4 billion
to the National Institutes of Health (NIH), including $1.25 billion for cancer research over the NIH
annual federal appropriation. ARRA also made a significant commitment to public health programs,
with $650 million allocated toward prevention and community-based wellness initiatives, such
as tobacco cessation.
ACS CAN was one of the first organizations to advocate strenuously for the inclusion of research
and prevention funding in ARRA. ACS CAN volunteers persuaded 10 senators whose support
was crucial to final passage to vote in favor of the bill.
 ACS CAN continues to be the driving force behind the One Voice Against Cancer (OVAC) coalition,
which advocates for increased funding for the NIH, National Cancer Institute, National Center
on Minority Health and Health Disparities, Centers for Disease Control and Prevention (CDC),
and the Food and Drug Administration (FDA).
A few weeks after ARRA passed, ACS CAN and OVAC scored a second victory when Congress
completed work on the fiscal year 2009 (FY09) budget, which included a nearly $1 billion increase
in funding for the NIH for FY09.
ACS CAN and OVAC persuaded Congress to approve nearly $5.5 billion for cancer research and
prevention programs in the fiscal year 2010 federal budget, which provides an important down
payment on the presidents goal of doubling cancer research funding over the next eight years.
Prevention and Early Detection
Breast cancer survivor and ACS CAN volunteer Joni Lownsdale of Illinois shared her story of
being denied insurance because of her cancer history at a Breast Cancer Awareness Month
event hosted by First Lady Michelle Obama and Jill Biden, EdD, the vice presidents wife.
ACS CAN partnered with the Society and the National Football League in their A Crucial Catch cam-
paign to raise awareness of the importance of early detection of breast cancer at a Breast Cancer
Awareness Month event on Capitol Hill hosted by U.S. Representative Donna Edwards of Maryland.
ACS CAN convened a strategic meeting of state and tribal NBCCEDP directors, CDC leadership,
and other stakeholders to develop and enhance collaborative initiatives designed to increase
screening rates among medically underserved populations.
The CDC presented the Society and ACS CAN with an outstanding partner award for continued
support and contributions to the NBCCEDP.

Breast ACS CAN successfully negotiated a more effective breast cancer education and outreach bill,
known as the EARLY Act, for younger women.
In partnership with Making Strides Against Breast Cancer, ACS CAN continued to fight for
increased funding for the National Breast and Cervical Cancer Early Detection Program The Society and ACS CAN helped clarify the importance of routine mammograms starting at age
(NBCCEDP) with the Someone Isnt Getting Screened campaign, collecting more than 50,000 40 following revised recommendations from the U.S. Preventive Services Task Force.
petition signatures at Making Strides Against Breast Cancer events nationwide for delivery
to Congress. ACS CANs group Ensure that ALL Women Have Access to Mammograms on the social media
tool Facebook reached nearly 19,000 fans, making it the largest of ACS CANs Facebook causes.
ACS CAN strongly supported an amendment to the U.S. Senate health care reform bill guaranteeing
women access to lifesaving cancer screenings such as mammography and Pap tests. The amendment
passed with bipartisan support.

Otis W. Brawley, MD, the Societys chief medical officer, testified before Congress twice on the
importance of the NBCCEDP and mammography screening, as well as the need for enhanced
research investments to improve existing detection tools and treatments.

In a year in which states faced extraordinary economic pressures, Society Divisions and ACS CAN
were largely able to protect or stave off deep cuts to state funding for breast and cervical cancer
screening and treatment programs. In addition, Alabama and Indiana changed eligibility requirements
so more women could be screened.

ACS CAN petitioned the Centers for Medicare & Medicaid Services to issue guidance that would
help prevent states from reducing their contribution to the NBCCEDP and provide many low income
women with continued access to lifesaving cancer screenings.

20
Colon

Thanks to ACS CAN volunteers many years of advocating for increased funding, the CDC in
2009 had sufficient resources to launch a robust colorectal cancer screening program. With $39
million granted to 26 states and tribes nationwide, the program supports population-based
screening efforts and provides early detection tests to low-income adults aged 50 to 64 years
who are underinsured or uninsured.

Vermont became the 26th state to enact legislation requiring health insurance plans to provide
coverage for the full range of colorectal cancer screenings.

ACS CAN built congressional support for the Colorectal Cancer Prevention, Early Detection and
Treatment Act, which would create a national community-based program for colorectal cancer
screening and treatment based on lessons learned from the NBCCEDP.

At ACS CANs behest, the U.S. House of Representatives approved a resolution commemorating
the 10th anniversary of Congress designating March as National Colorectal Cancer Awareness Month,
providing a national platform to increase awareness of colorectal cancer and the importance
of screening.

Lung

After a decade-long campaign, ACS CANs fight to empower the FDA with the authority to regulate The Society and other health partners continued their role as intervenors in the U.S. Department
the manufacture, marketing and sale of tobacco products came to a triumphant conclusion of Justices case against the tobacco industry for defrauding the American people in marketing
(see page 23-24). light cigarettes.

ACS CAN led a successful effort to secure a 62-cent increase in the federal tobacco tax to pay Nutrition and Physical Activity
for expansion of the State Childrens Health Insurance Program (see page 24).
ACS CAN and the Society, in partnership with multiple external experts, convened a summit on
ACS CAN and Society Divisions, in partnership with public health coalitions, continued state nutrition and physical activity policy to begin developing strategic advocacy initiatives that will
and local efforts to reduce tobaccos deadly toll by passing, defending and implementing smoke-free support the Societys emerging focus in this area.
laws, increasing tobacco taxes, and encouraging strong tobacco cessation, prevention and tobacco
control policies (see page 32).

Every time we succeed, there is something else that needs

to be done. Prior advocacy success makes you believe you
can succeed again and again!
Donna Lundy, Volunteer and Division Board Member, Florida

21
Information

ACS CAN released the seventh annual How Do You Measure Up? report on state legislative activity.
A radio media tour promoting the report reached nearly 1,900 station affiliates and an audience
of 6.4 million listeners. Interviews were featured on CNN Radio, as well as leading news and public
radio stations in Washington, DC, and 11 statewide news networks.

ACS CAN released Cancer Disparities: A Chartbook, a comprehensive tool to educate multiple
audiences about health disparities and how ACS CAN is working to address them through legislation
and public policy.

Quality of Life

The House of Representatives unanimously passed the National Pain Care Policy Act, legislation
that ACS CAN developed to help relieve suffering from pain in cancer patients and survivors. ACS
CAN advocates nationwide sent thousands of e-mails urging passage. Major provisions of this
legislation were also included in the House and Senates health care reform legislation.

Indiana, Oregon, and Texas enacted laws requiring insurers to cover routine care costs for cancer
patients enrolled in approved clinical trials. Twenty-seven states and the District of Columbia now
guarantee this coverage.

To help prevent employment discrimination among cancer survivors, ACS CAN submitted comments
to the Equal Employment Opportunity Commission regarding recent amendments to the Americans
with Disabilities Act.

A joint research project with the Society's National Cancer Information Center (NCIC) found that
cancer-related pain is not being managed adequately in the majority of NCIC callers surveyed. The
findings were published in CA: A Journal for Cancer Clinicians.

ACS CAN and the Catholic Health Association hosted a congressional briefing on palliative care's
role in improving quality of life for cancer patients, survivors and their loved ones.

ACS CAN educated senior palliative care researchers and program leaders about the role of public
policy during a symposium hosted by the Society and the National Palliative Care Research Center.

22
historic wins for public health
protecting kids from big tobacco
On June 22, 2009, President Barack Obama signed the Family Smoking Prevention and Tobacco
Control Act into law. The bill, which passed by votes of 79-17 in the Senate and 307-97 in the
House of Representatives, was first introduced more than 10 years ago, and grants the U.S. Food
and Drug Administration (FDA) the authority to regulate the manufacture, marketing, and sale of
tobacco products. Society and ACS CAN volunteer and staff leadership attended the White House
signing ceremony to represent hundreds of thousands of volunteers and staff nationwide whose
determination and steadfast support made this historic victory possible.
Tobacco kills more than 400,000 Americans each year, causes nearly 90 percent of lung cancer
deaths, and is responsible for nearly one-third of all cancers. The tobacco industry spends more
than $12 billion a year $35 million each day to mislead the public about its harmful products; to
market their products aggressively to addict new, young smokers; and to keep current users from
quitting. Each day, 3,500 children try smoking for the first time, and most adult smokers become
addicted as kids.
Despite the fatal harm tobacco products cause, they have historically been one of the least regulated
consumer products. Forty-five years after tobacco smoke was first found to be a health hazard, the
23
new law has the potential to break a deadly cycle and protect the nations children from the
industrys aggressive tactics. Major provisions of the bill are already in effect, including the ban on
the manufacture and sale of candy- and fruit-flavored cigarettes that appeal primarily to children.
Tobacco companies are also now required to disclose all product ingredients to the FDA for the first
time ever.
Since 1996, the Society, and later ACS CAN, together with their partners in the public health
community, has led a relentless multi-faceted campaign for passage. Year after year, the commitment
never wavered, ensuring that momentum was built to the point where consensus was broad
and passage inevitable. The power of their work and of ACS CANs movement is evident in the
bills enactment.
In the two weeks leading up to the groundbreaking vote in the House of Representatives, ACS
CAN advocates sent more than 4,200 emails, made hundreds of phone calls to Capitol Hill, and
secured dozens of co-sponsors. An even stronger outpouring of support preceded the Senate vote
with another 5,000 phone calls as well as nearly 18,500 emails sent in just one week from 9,000
Relay For Life participants, nearly 8,000 of them taking action through ACS CAN for the first time.
ACS CAN ran a powerful series of advertisements in Capitol Hill publications to amplify
the grassroots activity and put further pressure on the Senate. Schoolhouses, and later
school buses, were used to illustrate the number of kids who would try smoking each
day the Senate failed to act, with the number of schoolhouses (or school buses)
growing in each successive ad. The point was further made on acscan.org/protectkids,
where a counter concurrently tracked how many children had tried their first cigarette
since January 1, 2009.

Given its track record, the tobacco industry is unlikely to comply willingly or fully with the
spirit of the law. Indeed, just two months after the law was signed, several tobacco
companies filed a lawsuit seeking to block several key provisions from taking effect. The
Society and ACS CAN are working with partners in the public health community to
counter the industrys litigation, just one of many fronts ACS CAN intends to fully engage
in to ensure timely and effective implementation of the new law.

major provisions: The Family Smoking

Prevention and Tobacco Control Act
Bans candy- and fruit-flavored cigarettes that appeal primarily to children
Requires disclosure of product ingredients and additives, including
poisons and carcinogens, to the FDA for the first time.
Prohibits outdoor advertising near
schools and playgrounds
Limits advertising in publications
with high youth readership to
blackand-white text.
Requires larger, graphic, and more
effective warning labels covering
50 percent of the front and back
of cigarette packaging
No longer permits misleading
terms, including light, low,
and mild to describe tobacco
products. The industry is also
barred from using health claims to
describe a product as less harmful
unless the FDA finds the claims to
be scientifically valid.
saving lives, covering kids
After just two weeks in office, President Barack Obama approved a 62-cent increase in the federal tobacco
tax the first increase since 1997 and the largest single increase ever. The new federal cigarette tax of $1.01
took effect on April 1, 2009. Adopted to finance expansion of the State Childrens Health Insurance Program
(SCHIP), the higher tax will further the Society and ACS CANs joint mission of saving lives from cancer by
lowering smoking rates and reducing tobacco consumption while giving millions of uninsured children access
to quality health care.
Research shows that every 10 percent increase in the price of cigarettes leads to a seven percent decline in
youth smoking and a four percent drop in overall consumption. The higher tax is expected to prevent more
than 900,000 smoking-related deaths, deter nearly 1.9 million children from smoking, and encourage 1.4 million
adults to quit. Combined with recent successes in raising state tobacco taxes (see page 32), these numbers
increase substantially.
This victory was the result of years of Society and ACS CAN leadership on tobacco control issues. ACS CAN
launched the most recent push to increase the federal tobacco tax in 2007, and with the strong support of
cancer advocates nationwide convinced elected officials from both political parties to pass this bill. ACS CAN
advocates sent more than 12,000 messages of support in the weeks leading up to the final passage of the
bill in Congress. The federal tax campaign also showcased ACS CANs ability to engage activists through new
media. Nearly 10,000 volunteers were mobilized through Facebook and MySpace and nearly 2,000 people
signed up for ACS CANs text-message alerts.

24
state by state: state and local highlights
Alabama
The Breast Cancer Treatment Act of 2009 was
enacted, allocating an additional $3.7 million to
expand the Breast and Cervical Treatment Act.
$835,000 of state funds will be matched by
$2.9 million of funds by the federal government.*
ACS CAN and Society supporters and advocates
defeated a flawed smoke-free bill.
Advocates helped secure $360,000 in state
funding for the state Breast and Cervical Cancer
Early Detection Program despite massive budget
cuts to health care and education.*
25
Alaska
ACS CAN helped secure a $9.2 million state
appropriation for Alaska's Tobacco Prevention
and Control Program, a $645,000 increase over
the FY 09 appropriation.
ACS CAN successfully advocated for the state's
$250,000 appropriation to the Breast & Cervical
Health Check Program. The state funds supple-
ment CDC funding and allow for more flexibility
to meet Alaska-specific needs.*
ACS CAN, the Society, and coalition partners in
Unalaska and Haines both passed local smoke-free
ordinances. Unalaskas new law covers restaurants
and bars and Haines covers workplaces,
restaurants and bars.
Juneau voters increased the citys cigarette tax
from 30 cents to $1.00 per pack and approved
a 45 percent tax on the wholesale price of other
tobacco products.
* Denotes initiative addressing disparities and/or access to care.
Arizona
ACS CAN worked with partners to see legislation
signed into law that ensures cancer patients in
Arizona have access to the latest off-label drugs
approved for the treatment of cancer.*
ACS CAN worked to defeat a provision in the
legislative budget would have de-funded tobacco
tax enforcement in Arizona.
ACS CAN helped protect the states Breast and
Cervical Cancer Screening Program against a
nearly 60 percent cut in funding, while ensuring
any cuts made to the program did not affect
screenings.*
Arkansas
The state raised the cigarette tax by 56 cents for a
total of $1.15 per pack, in addition to increasing
the tax on cigars and smokeless products. The
revenue will be used in part to help fund the
Arkansas Breast and Cervical Cancer Early De-
tection Program and to establish a cancer registry
within the Arkansas Cancer Coalition.*
The Colorectal Cancer Prevention, Early Detection
and Treatment Act of 2009 was signed into law,
making Arkansas one of several states that have
established state screening programs for col-
orectal cancer.*
Legislation requiring all state-funded institutions of
higher learning to become smoke-free environ-
ments by August 1, 2010 was signed into law.
California
With a vote on the floor of both the Assembly
and the Senate of a $1.50 per pack tobacco tax,
tobacco tax legislation progressed far further
than in any recent attempt in California. It was the
first time in 16 years that a tobacco tax was voted
on by either the full State Assembly or Senate.
Aggressive, timely and collaborative lobbying
and grassroots efforts by the Society and its
partners successfully stopped state tobacco
retail licensing legislation from proceeding with
preemption language.
Californias Access to Care Community Mobiliza-
tion Initiative grew to over 100 community-based
organizations participating in 10 countywide
coalitions, representing 72 percent of the states
population.*
Colorado
ACS CAN successfully lobbied for the passage
of legislation that requires private health insurance
plans to maintain coverage for routine care
when a patient enrolls in a clinical trial, allowing
more cancer patients to enroll in potentially life
saving clinical trials without fear of losing their
health insurance.*
ACS CAN worked with private health insurers in
the state to pass legislation that provides com-
prehensive coverage of eleven critical preventative
services, including screening for breast, cervical,
and colorectal cancer as well as tobacco use
screening. The bill mandates that private health
insurance companies waive both the deductible
and coinsurance for a covered person so that the
only out of pocket expense is a co-payment.*
ACS CAN worked with their partners to pass
legislation that will generate revenue for the
Colorado Breast and Cervical Cancer Medicaid
Treatment Program through the Colorado Breast
Cancer Awareness license plate.*
Connecticut
The state enacted a $1.00 cigarette tax increase,
bringing the total tax to $3.00 per pack and giving
the state the second highest tax rate in the
country. Additionally, a 7.5 percent tax increase
on the wholesale price of other tobacco products
was approved, for a total tax of 27.5 percent.
Advocates successfully fought to preserve $3.3
million in funding for the state Comprehensive
Cancer Plan, $2.4 million for the state breast
and cervical cancer program and $6.8 million in
tobacco prevention and cessation funding.*
Legislation was passed prohibiting the use of an
individuals prescription drug history as criteria
to deny health insurance coverage.*
Delaware
The state's cigarette tax was increased by 45
cents for a total of $1.60 per pack.
All tanning salons in the state are now required
to obtain in person parental consent prior to al-
lowing youth ages 14-17 to use their facilities.
Individuals under age 14 are banned from facil-
ities, unless deemed medically necessary.
In an effort to improve quality of life, the state
Board of Medical Practice voted to adopt the
Federation of State Medical Boards Model Policy
on the Use of Controlled Substances for the
treatment of pain, giving cancer patients and
health care professionals more options when it
comes to pain management.*
District of Columbia
The District's cigarette tax was increased from
$2.00 to $2.50 per pack.
Medicaid was expanded to include District of
Columbia residents with incomes between 200-
400 percent of the Federal Poverty Level.*
Legislation passed requiring health insurers to
provide coverage for oral chemotherapy drugs
in the same way that intravenous chemotherapy
is covered.*
Florida
The state cigarette tax was increased by $1.00
per pack for a total of $1.339. The tax on
smokeless tobacco products was also increased
an additional 60 percent.
The General Appropriations Act included a record
$63.5 million for tobacco education, prevention,
and cessation activities for the fiscal year beginning
July 1, 2009.
Legislation was signed into law by the governor
dedicating up to $50 million annually from new
tobacco tax revenues for biomedical research.
26
Georgia
Legislation was passed to provide a common set
of measurements and requirements for all Georgia
K-12 schools to prepare physical fitness assess-
ments of their students annually and report
them to the governor.
In a very tough budget year BreasTest and More
(now called the Cancer Screening Program),
Cancer State Aid and Women's Health Medicaid
Programs all maintained level funding in the
FY2010 budget.*
In FY2010, Georgia will spend $2.3 million of its
master settlement agreement funds on tobacco
control, prevention and education.*
Hawaii
The state cigarette tax increased 60 cents for a
total of $2.60 per pack, with additional 20 cent
increases over the next two years, eventually
reaching $3.00 per pack in July 2011. Smoke-
less tobacco taxes were also increased from 40
percent to 70 percent of wholesale price.
Legislation was passed into law requiring parity
in covering oral chemotherapy drugs with that
of intravenous chemotherapy drugs.*
27
Due to the hard work of Society and ACS CAN
volunteers, attempts to divert cancer research
funds to other programs were defeated.
Idaho
Advocates successfully protected the existing state
funding for the Women's Health Check Breast and
Cervical Cancer Screening Program in a year when
many programs took substantial budget cuts.*
ACS CAN protected the current tax structure for
smokeless tobacco from being changed to a
weight based system of taxation.
ACS CAN successfully advocated for the protection
of the tobacco settlement dollars from being
raided to supplement the general state fund.
Illinois
Legislation creating the State Colorectal Cancer
Screening and Treatment Pilot Program, a screen-
ing program modeled after the State Breast and
Cervical Screening Program, was enacted.*
The state expanded access to Medicaid for
uninsured individuals suffering from prostate
and testicular cancer.*
The Society passed the Smoke-Free Illinois Act
Amendment to improve and clarify enforcement
of the existing statewide smoke-free law.
Indiana
Legislation requiring Medicaid, the State Employee
Pool and private insurance to cover routine care
costs for cancer patients enrolled in clinical trials
passed and was signed into law.*
Legislation which changes restrictions on which
providers can screen women for breast and/or
cervical cancer passed and was signed into law.
Additionally, the law allows for women who are
diagnosed with cancer to access Medicaid
through the Breast and Cervical Cancer Early
Detection Program Treatment Act.*
Advocates successfully maintained cancer and
tobacco control funding and blocked proposed
budget language which would have changed
smokeless tobacco tax rates from a percentage-
based tax to a weight-based tax.
Iowa
The governor signed legislation requiring health
insurers to provide coverage of oral chemotherapy
drugs in the same way that intravenous
chemotherapy is covered.*
Legislation was passed which extends health
care coverage to 99 percent of Iowan children
and creates a strategic plan to provide coverage
to more adults as well.*
ACS CAN and the Society successfully advocated
against attempts to weaken or repeal the
statewide comprehensive smoke-free law.
* Denotes initiative addressing disparities and/or access to care.
Kansas
The state Senate passed a comprehensive
smoke-free bill.
Local smoke-free ordinances were passed in
Salina and Topeka. Ballot measures to weaken
existing smoke-free ordinances were defeated
in Emporia and Salina. A smoke-free resolution
was adopted by Pratt County.
Kentucky
The state cigarette tax increased by 30 cents per
pack, doubling the tax to a total of 60 cents per
pack. The tax on snuff was also doubled from
9.5 to 19 cents per unit.
The state House passed legislation ensuring that
patients who had existing health insurance and
participated in a clinical trial would not be denied
insurance coverage for routine medical tests.*
Louisiana
Advocates helped secure $350,000 in state
funding for the state Colorectal Cancer Screening
Project, LA-FITCO, despite massive budget cuts
to health care and education.*
Legislation was introduced that would have in-
creased the state tobacco tax by $1.00. Despite
opposition from the governor and legislative
leadership, the bill passed out of committee and
reached the House floor for a vote.
Advocates worked to ensure that $700,000 in
state funding for the Breast and Cervical Cancer
Early Detection Program was preserved.*
Maine
All workplaces are now 100 percent smoke-free,
including parks, beaches, public areas, and outdoor
dining areas, with no exceptions.
ACS CAN and the Society worked to see legislation
passed which requires restaurants with more than
20 Maine locations to post calorie information
on menus and menu boards.
Maryland
The Society successfully lobbied for an increase
of $2.25 million in state funding for the Breast
and Cervical Cancer Early Detection Program.*
Advocates successfully lobbied against proposed
permanent $14 million reductions in tobacco
control programs the funding cuts are now
limited to two years.
The Society supported legislation that passed,
which allows school systems to develop and im-
plement an annual physical fitness measurement
program and the State Department of Education
to establish an Advisory Council on Health and
Physical Education.
Massachusetts
ACS CAN and the Society successfully advocated
for the creation of a State Office of Health Equity, a
state-cabinet level agency responsible for coordinat-
ing efforts to end racial and ethnic health disparities.*
Legislation which would mandate that private
insurers cover the full range of colon cancer
screenings, following the Society's guidelines,
was introduced. The bill has the support of nearly
30 legislators, was the topic of public hearings
and will continue to move during the second
year of the legislative session.*
Along with coalition partners, Society staff and
volunteers continued implementation of the state's
health care reform law and fought to ensure
that there were no cuts to eligibility or benefits.*
Michigan
kept intact.
Legislation was signed into law to make work-
places 100 percent smoke-free, with the exception
of cigar bars, tobacco retail specialty stores, and
the gaming floors of casinos.
The Michigan Supreme Court upheld the legality
of the smoke-free regulations that currently
exist in 21 Michigan counties. The Society, along
with several partners, submitted an amicus brief
in the case.
Local smoke-free ordinances were enacted in
Muskegon, Benzie and Leelanau Counties.
Minnesota
ACS CAN and the Society successfully advocated
for legislation that was signed into law which
creates a new colorectal cancer screening program
for uninsured and underinsured individuals.*
Despite budget cuts, the newly established State
Health Improvement Program, which will provide
$47 million in grants to local communities for
tobacco cessation and obesity prevention, was
Legislative attempts to exempt smoking rooms and
smoking shacks from the states comprehensive
smoke-free law were defeated.
Mississippi
The states first cigarette tax increase since 1985
took effect, raising the tax by 50 cents to 68
cents per pack.
Missouri
Legislation was passed which requires 30 minutes
of physical activity per day in Missouri public
schools.
Funding was maintained for important state
programs, including tobacco prevention and
cessation and the state Breast and Cervical Cancer
Early Detection Program. Additionally, appropri-
ation of stimulus funds for tobacco cessation,
nutrition/physical activity, and healthy community
programs was secured.*
Local smoke-free ordinances were passed in
Clayton, Liberty and Kirkwood.
Montana
The state's comprehensive smoke-free law took
effect on October 1, 2009.
Despite poor state revenue projections, the
Montana Tobacco Use Prevention Program was
funded at a rate of $7.3 million annually for the
next two years.*
Funding for the Montana Cancer Section was
maintained, allowing an increased number of
women to have access to the states Breast and
Cervical Cancer Early Detection Program.*
Due to the work of the Montana Pain Initiative,
a joint project of ACS and ACS CAN the Montana
Board of Medical Examiners voted unanimously
to adopt the Federation of State Medical Board
model pain policy, with emphasis on pediatric
pain management.
Nebraska
Society advocates helped secure a voluntary
agreement for coverage of routine health
care costs when a patient enters an approved
clinical trial.*
The state allocated $400,000 for a colon cancer
screening program for the uninsured, as well as
a $200,000 increase in Breast and Cervical Cancer
Screening funding.*
Advocates successfully defeated attempts to
significantly weaken the state smoke-free law.
28
Nevada
Legislation ACS CAN strongly advocated for was
signed into law, creating the Nevada Cancer
Drug Donation Program.*
The legislature adopted a resolution establishing
Melanoma and Skin Cancer Awareness Week,
bringing public awareness to the issue.
New Hampshire
A 45 cent increase in the cigarette tax, bringing
the total to $1.78 per pack, was signed into law
effective July 1. Additionally, a new cigar tax was
established, and the tax on smokeless products
was increased by more than 100 percent.
A hospice benefit was added to the Medicaid
program.*
Successfully worked to save the state Catastrophic
Illness Pool, which helps approximately 700
cancer patients, from proposed cuts in the
governor's budget.*
29
New Jersey
A new state law provides an exception to the
30-day supply limit on medically necessary pain
drugs and allows patients to receive up to a 90-
day supply in certain circumstances.*
The state cigarette tax increased by 10 cents to
$2.70 per pack, now the nations fourth highest.
The governor signed a menu labeling law requiring
calorie counts to be listed on the menus of most
fast-food and other chain restaurants. New Jersey
is the fifth state in the country to take this giant
step in the fight against obesity. The new law
will go into effect on January 18, 2011.
New Mexico
A new law requires private health insurance
plans to maintain coverage for routine care
when a patient enrolls in a clinical trial, allowing
more cancer patients to enroll in potentially life
saving clinical trials without fear of losing their
health insurance.*
Those diagnosed through the states Breast and
Cervical Cancer Early Detection program will
have access to an additional $1.6 million in tobacco
settlement revenue that has been dedicated to
the Medicaid Program.*
ACS CAN and Society advocates defeated legis-
lation which would have weakened the states
current smoke-free workplace law.
New York
The state enacted several laws to expand access
to care, highlighted by a special insurance program
for 19-29 year olds, a COBRA extension to 36
months, an expansion of Family Health Plus to
200 percent of the federal poverty level for up to
400,000 adults, and elimination of enrollment
barriers such as finger imaging.*
Strong menu labeling laws for chain restaurants
in key regions went into effect, covering 60
percent of the states population.
New York City passed the nations most complete
ban on flavored tobacco of all kinds, including
snuff, cigars and snus.
North Carolina
Legislation mandating statewide smoke-free
restaurants and bars was signed into law by the
governor. The bill also allows localities to pass
smoke-free ordinances stronger than state law.
Legislation to create a state drug, supplies and
medical device repository system was signed
into law and took effect.*
Despite budget cuts in other programs, the North
Carolina Breast and Cervical Cancer Early Detec-
tion Program did not sustain any funding cuts.*
North Dakota
The only state to meet new recommendations
set by the Centers for Disease Control, the state
now boasts the first fully-funded tobacco use
prevention and cessation program in the country.
* Denotes initiative addressing disparities and/or access to care.
Womens Way, the state's Breast and Cervical
Cancer Early Detection Program, received an
increase in funding from $50,000 per year to
$202,166 per year for the next two years to
help reach the 24,000 eligible women that need
mammogram and cervical cancer screenings.*
The governor, for the first time, included colorectal
cancer screening, including colonoscopies, as part
of the health insurance package which current and
retired state employees are eligible for. Addition-
ally, the colorectal cancer screening project in
Rolette County was funded through June 2011.*
Ohio
The Society defeated legislation that would
have weakened Ohios comprehensive smoke-
free law.
Despite a significant budget deficit and resulting
cuts, state funding for the Breast and Cervical
Cancer Early Detection Program was maintained,
allowing an additional 4,700 women to be
screened.*
Legislation was introduced in both the House
and Senate to require all health insurance plans
to cover a full range of colorectal cancer screening
tests, per the Societys recommendations.*
Oklahoma
ACS CAN backed legislation requiring health
insurers to pay at least $500 in tobacco cessation
costs, including medical treatment and education,
for tobacco users ages 15 and older was intro-
duced, passed and signed into law.*
Legislation banning cigarette vending machines
where they are accessible by individuals under
age 21 was signed into law.
Pennsylvania
Rhode Island
The state increased its cigarette tax by $1.00 to
$3.46 per pack, the highest in the nation. The
tax on other tobacco products was also increased.
Legislation was signed into law, effective January 1,
2010, which mandates insurance coverage for
the full range of new and established tobacco
cessation programs, including all FDA approved
smoking prescription and over-the-counter
medications, with or without counseling sessions.

Society advocates protected state Breast and
Cervical Cancer Early Detection Program screening
funding and colorectal cancer screening funding
from budget cuts.*
An attempt to put a measure on the ballot to divert
10 percent of tobacco prevention and cessation
program funds to adult stem cell research was
defeated.
Oregon
Advocates supported legislation which will
streamline state health services and carry out a
variety of initiatives to contain costs and improve
the quality of Oregons health care system.*
A new law will expand health and dental coverage
to 80,000 uninsured children and an additional
35,000 uninsured low-income adults in the state.*
A 25 cent increase in the state cigarette tax took
effect, bringing the total to $1.60 per pack.
The first state tax on cigarillos (small cigars) was
established at $1.60 per pack.
Legislation passed the House to require insurance
coverage of routine health care costs when a
patient enters an approved clinical trial.*
South Carolina
After a year of zero funding, $2 million was
restored in the budget for the state's tobacco
prevention and control program.
From September 2008 through November 2009,
12 local communities passed comprehensive
smoke-free ordinances, bringing the total number
to 30. Approximately 30 percent of the state's
population now lives in smoke-free communities.
Despite major budget cuts, the state health de-
partment received $1 million for a colorectal
cancer screening program that targets underserved
populations and the Best Chance Network, the
states Breast and Cervical Cancer Early Detection
Program, received $2 million in funding.*
South Dakota
Comprehensive statewide smoke-free legislation
was passed by the legislature and signed into law
by the governor. However, opponents referred the
law to the ballot and the voters of South Dakota
must approve the law in November, 2010 before
it can go into effect.
Legislation was passed and signed into law
which will increase the lifetime benefit maximum
for their states high risk pool and allow children
to enroll.*
Despite statewide budget cuts, funding for the
states tobacco control and prevention program
was preserved.
Tennessee
Comprehensive colorectal cancer screening leg-
islation was introduced. The bill would create
the framework for a colorectal cancer screening
program for the uninsured and underinsured
and would require health insurance companies to
cover colorectal cancer screening in accordance
with Society guidelines.*
Despite cuts made to many state programs,
funding for the state Breast and Cervical Cancer
Early Detection Program was restored.*
Legislation was defeated which would have
weakened the state smoke-free law by removing
no smoking signs.

30
Texas
Legislation was passed and signed into law to
require coverage of routine health care costs
when a patient enters an approved clinical trial.*
Legislation was passed to make the high risk in-
surance pool premiums more affordable, through
a sliding scale based upon ability to pay.*
$450 million (over two years) was appropriated
for the Cancer Prevention and Research Institute
of Texas, in addition to an additional $1 million
for technology improvements for the Texas
Cancer Registry.
Comprehensive local smoke-free ordinances were
passed in Galveston, Corpus Christi, Dallas, Flower
Mound, Rowlett, College Station and Conroe.
Utah
$8 million in tobacco prevention and control
program funding was preserved, despite other
state budget cuts.
$1.5 million in funding for the state Breast and
Cervical Cancer Early Detection Program was
preserved.*
Vermont
Vermont became the 26th state to enact legis-
lation requiring health insurance plans to provide
coverage for the full range of colorectal cancer
screenings. In addition, a cap was placed on
out-of-pocket costs.*
The state expanded its existing statewide
smoke-free law to include private workplaces with
indoor smoking rooms. Vermonts workplaces,
restaurants, private clubs, and bars are 100 percent
smoke free.
31
Advocates worked to enhance access to the
Catamount Health Program, including reducing
the enrollment waiting period, lowering the
high deductible threshold to $7,500, and blocking
proposed increases to premiums, co-pays and
deductibles.*
Virginia
Funding for the state Breast and Cervical Cancer
Early Detection Program was preserved.*
Attempts to reduce funding for state tobacco
control and prevention programs were defeated.
Legislation was passed and signed into law to
preserve cancer screenings in all health policies
offered by small businesses.*
All health insurance policies offered in the state
must contain coverage for prostate, colorectal,
breast and cervical cancer screenings.*
Washington
ACS CAN advocates protected $2.9 million in
funding for the state Breast and Cervical Cancer
Early Detection Program.*
Legislation banning Internet sales of tobacco
products, with the exception of full sized cigars,
was signed into law.
Despite major budget cuts, funding was main-
tained for the state Medicaid tobacco cessation
benefit and cuts to the state tobacco prevention
and education program were limited.*
West Virginia
Legislation was signed into law adopting the
Federation of State Medical Boards Model Policy
on the Use of Controlled Substances for the
treatment of pain, giving cancer patients and
health care professionals more options when it
comes to pain management.* A new law makes it more difficult for insurers in
the individual insurance market to deny claims
Legislation was signed into law establishing a based on pre-existing conditions and also allows
pilot project to operate various types of patient certain adult children to be covered under their
centered medical homes throughout the state.* parents health insurance policy.*
Advocates defeated legislation that would have Wyoming
caused the Board of Health to lose its authority to ACS CAN advocates helped preserve $500,000
pass smoke-free regulations and require every health in funding for county-level Cancer Resource
issue to be voted on by the county commissions. Coordinators and expand the outreach program
from a five county regional pilot to cover the
Funding for the state Breast and Cervical Cancer entire state.*
Early Detection Program diagnostic fund, the
state tobacco prevention and Quit Line programs, ACS CAN and its partners advanced compre-
and the comprehensive Cancer Coalition, hensive statewide smoke-free legislation further
Mountains of Hope, was preserved, despite through the legislative process than ever before.
statewide budget cuts.*
Legislation was signed into law doing away with
Wisconsin discretionary clauses in insurance contracts.*
Comprehensive statewide smoke-free legislation
was signed into law and takes effect July 5, 2010. A new law requires external, independent reviews
for insurance policyholders who want a second
The state increased its cigarette tax by 75 cents opinion when a claim is denied.*
to $2.52 per pack and increased the tax on
other tobacco products.
* Denotes initiative addressing disparities and/or access to care.
reducing tobaccos toll Smoke-Free Successes

Three states Maine, Montana, and Vermont implemented statewide smoke-free laws,
expanding coverage to all workplaces, including restaurants and bars.

Six states Maine, Michigan, North Carolina, South Dakota, Vermont, and Wisconsin
passed strong statewide smoke-free laws.

Thirty-two states, the District of Columbia, and Puerto Rico had smoke-free laws in effect
covering 100 percent of all workplaces and/or restaurants and/or bars as of January 2010.

Smoke-free workplace and/or bar and/or restaurant laws now cover nearly 75 percent of
the U.S. population.

Cigarette Tax Increases

Fourteen states Arkansas, Connecticut, Delaware, Florida, Hawaii, Kentucky, Mississippi,

New Hampshire, New Jersey, North Carolina, Pennsylvania, Rhode Island, Vermont, and
Wisconsin plus the District of Columbia increased cigarette taxes in 2009.

Two states Rhode Island and Connecticut adopted tax increases that put the total tax
at $3 per pack or higher.

At $3.46 per pack, Rhode Island has the nations highest cigarette tax.

Fourteen states and the District of Columbia have state cigarette taxes of $2 or more.

The average state tax on a pack of cigarettes is $1.34, up from $1.19 a year ago.

Since 2002, 46 states, the District of Columbia, and several U.S. territories, have raised
their cigarette taxes more than 95 times.

Prevention, Cessation, and Control Funding

North Dakota became the first state to fund their tobacco control programs at the
Center for Disease Control and Preventions (CDC) recommended minimum levels for
fiscal year 2010.

Seventeen states offered at least one form of medication and one type of counseling in
their Medicaid cessation coverage.
32
donors

Corporate Contributors Judicial Advocacy Presidents Circle Nathan Grey Rasky Baerlein Strategic Shelly Barsanti
Initiative Contributors $3,000 to $9,999 F. Sheffield Hale Communications Becker & Poliakoff
Corporate Champions Norma J. Hayman Gary M. Reedy Dr. Therese Bevers
$100,000 and up Hope Circle Dr. Charles Joseph Bennett, Jr. Reuel Johnson Roche Laboratories Kevin Bickart
$50,000 or more in Mr. & Mrs. R. Clifford Berg, Jr. Dr. Anna Johnson-Winegar & Dr. Christy A. Russell Dr. Benoit Blondeau
EMD Serono, Inc. contributed services Blue Cross Blue Shield Lucien Winegar Wendy & Michael Selig George Ann Blough
GlaxoSmithKline of Massachusetts Jordan Foust Foundation Shakopee Mdewakanton Blue Cross & Blue Shield
K&L Gates, LLP The Boston Red Sox and the Dr. Douglas K. Kelsey Sioux Community of Wisconsin
Corporate Heroes Kilpatrick Stockton, LLP Red Sox Foundation Mr. & Mrs. Robert Kugler Peter S. Sheldon BNSF Railway Company
$25,000 - $99,999 McKenna Long & Aldridge, LLP Kathleen M. Bond Grace J. Kurak The Sheridan Group James D. Bond
Greg & Karen Bontrager Michael Kurak Daniel E. Smith & Sharlene Bozack
AstraZeneca Advocate Circle Dr. William H. Boykin, Jr. Mary Jo Langdon Lorraine Voles The Bravo Group
Celgene $10,000 - $24,999 in Dr. Otis W. Brawley Dr. Robert M. Langdon, Jr. Carter Steger Sheila Breeding
Eli Lilly and Company contributed services Dr. Robert T. Brodell Unice Lieberman & Dr. Eric W. Taylor Dr. Carolyn J. Bruzdzinski
Johnson & Johnson Sally West Brooks & Stephan Diamond Dr. Alan & Nancy Thorson Carla Bucknell
Pfizer Sherman and Howard, LLC Marvin Brooks Lockspot Cafe Dr. Jeff Weinstein Kalah R. Bumba
PhRMA Helene G. Brown Ann Mau John F. Windham Ronald J. Butler
Individual Contributors Cataldo Ambulance Service Inc. Jean B. McGill Winning Connections Joseph C. Cahoon, Jr.
Corporate Friends Jennie R. Cook III Dr. Raymond Melrose David L. Yeager Cancer Center at Boston
$10,000 - $24,999 Major CANpaign Circle Molly A. Daniels Pamela K. Meyerhoffer Joyce Zweifel University School of Medicine
$20,000 and up Mike P. Dany Scarlott K. Mueller Linda Carroll-Shern
Abbott Laboratories Tina & Killick Datta Kent C. Nelson Champions Circle Cates Auction House
BIO Dr. John W. Hamilton Dr. Margaret Drugay Northwest Hospital & $1,000 to $2,999 Mike Cavill
Genentech Robert E. Youle Evergreen Healthcare Medical Center Cephalon Inc.
Hologic Patricia M. Felts Barbara & Charlie Ohanesian Ag Investments LLC China Blue
Ironworks Consulting, LLC Chairmans Circle First Choice Health One Eleven Catering Andy Trivers and Associates Stephanie Christensen
Novartis Pharmaceuticals $10,000 to $19,999 Florida Health Care Oracle Corporation DeAnne F. Baer Citizens Financial Group Inc.
Purdue Pharma Association Overlake Hospital & Dr. Larry D. Baer City of Rolling Meadows
Sanofi-Aventis Pharmaceuticals Dr. John & Mrs. Carole Seffrin Dr. Elizabeth T.H. Fontham Medical Center Ball Construction Services LLC Hillary Clarke
SEIU Dr. Lewis E. Foxhall Physician Insurance Dr. Claudia R. Baquet Terri B. Clay
Virginia Mason Medical Center GMMB Gregory A. Pizzuti Barnard Griffin Winery Tina Clothier

33
Cobb Family Foundation Dr. Ranu Grewal-Bahl Eva Loken William G. Robbins APT Inc. Dr. Raymond Demers
Colorado Cancer Research Group Health Cooperative Lombardi Comprehensive Barbra Robinson Jack Armstrong Emily Diaz
Program Donald J. Gudaitis Cancer Center Rocky Mountain Cancer David Arnoldi Donald Distasio
Commonwealth Hematology- Karl Hamilton Jeffrey A. Martin Centers David F. Arons Kay Doak
Oncology Phil R. Harrop Martin Smith, Inc. Lynn Royer Tim Austin Scott Doty
Conrad Siegel Actuaries Kelly Headrick Massachusetts Medical Sara Lee Avantis Medical Systems Dr. Julian Duttera
Convio Inc. Heffley & Associates Inc. Society Savings Bank Life Insurance Dr. Andrejs Avots-Avotins Bryan K. Earnest
Deborah J. Cornwall Hematology-Oncology Section Massachusetts Society of Company of Massachusetts Janet Beneke Eisenhower Medical Center
Patricia J. Crome at Boston Medical Center Clinical Oncologists Michael Siler Louis Betz Electronic Healthcare Systems
Debra Cunningham Nancy L. Holleran Stacy Matseas Gregory B. Smith Michele Bloch Elements Studio Photography
Curves James Houston Dr. Tim Mauldin Soapbox Consulting Linda G. Blount Shannon Ely
Kelley M. Daniel Paul E. Hull Donna McDonald St. Elizabeth Regional Medical Blue Cross Blue Shield Dr. Mark Emmert
Danya International Beverlye Hyman Fead Patrick McGuire Center Brandeberry-McKenna Dr. & Mrs. Galen Eversole
Charles DeGooyer IKON Chantal McMillen Steves Floral Mary Briggle Dr. Jack T. Evjy
Dr. Richard L. Deming InfoUSA Inc. Peter Meade Gary J. Streit Buchanan Ingersoll & Darlene D. Falk
Dermatology and Laser Initiative Consulting Merck & Company Susan G. Komen for the Cure Rooney PC Jerry Fehr
Surgery Bennie Ivory Metz, Husband & Daughton Tas Inc. Barbara Bucholtz Guy Fischer
Ralph A. DeVitto Jefferson Monroe Consulting Dr. Judith Meyer Margaret M. Tattoli Dr. Michael J. Bukstein Kelly Flaherty
Dollywood Bryte Johnson, Jr. Catherine E. Mickle Lawrence S. Tierney Steve Burgess Dr. Thomas J. Forlenza
Paul and Jo Anne Egerman Kent Johnson Mix 93.3 Pam Traxel Charlotte Burke Dr. Karen Freund
Massage Envy Jari Johnston-Allen Paula D. Mohan Union Pacific Railroad Steven Burns Frances M. Gaines
Dr. W. Phil Evans KC After Hours Victor Mohr Company Nathan Bush Gamma West Administration
Fiorentino Group Jason Keller Mosaic University of California C.A. Curtze Company Meg Garza
Firestone and Parson Jewelers Robert & Aida Kelley New West Management San Diego Judith E. Calhoun Priscilla F. Gibbs
Deb Fischer-Clemens Jeff Kempthorne Service Urban Visions Jane M. Calvert Stephen Gimigliano
FLAG Capital Management LLC KeyBank National Association Dawn Niederman Nancy Vellinga Cancer Care Northwest Joy Ginsburg
Shelby Fletcher Richard D. King One Eighty Consulting Rebecca Waldrop Centers Toppy Goolsby
Florida Beverage Association Dr. Marianne B. Kipper Ruth Parriott We Work for Health Dr. Lee M. Carter Graham Group
Florida Justice Association James Knox Partners HealthCare System Webcor Builders Sandi C. Cassese James S. Gray
Florida Nurses Association Elaine Koogler Peter Kleine Company Wexler & Walker Public Cavanagh Company Gregg Haifley
Floridians for Youth Tobacco Lisa Lacasse Norman A. Pettlon Policy Associates Brent P. Chambers Donna K. Hammack
Education Brian D. Langstraat William T. Powers Barbara J. Wilinski Elisheva B. Chamblin Dave Hancock
Ellen A. Fogel Claudia K. Lash Premera Blue Cross Willoughby Stuart & Bening Bob Chapman Lynn A. Hancock
Foundation Health Services Inc. Cynthia M. LeBlanc Puyallup Valley Flower Nancy C. Yaw Mary Rob Clarke Jennifer Hausler
Joan A. Gaiser Dr. Chung Lee Theresa Radzinsky Dr. Jacqueline Young James Clines Dr. Allen H. Henderson
Robert S. Gatof Lee Hecht Harrison Maseeh Rafani Joseph William Cruitt Susan D. Henry
Robert M. Gengler Gary A. Leipheimer Ujwala Rajgopal Heros Circle Aaron E. Czyzewski Dr. Carla J. Herman
Georgetown Cupcake Life Beyond Cancer Vicki Rakowski $500 to $999 Randy J. Dahl Dr. Karen Heusinkveld
Glover Park Group Foundation Dr. & Mrs. Mark W. Redrow Sabrina Dandridge Lisa N. Hicks
Ann C. Gour Thomas M. Lindquist Relay Gear AARP Utah John Daniel Kelly Howley
Joel T. Greer Randy Linduff Renaissance 352 Inc. Briggs W. Andrews Daniel Consulting Faye Hsu

34
Marc Hymovitz
ICC Horticulture Department
Nick Ingala
Laurie Jensen-Wunder
Josam Foods Inc.
Charlie Justice
Beth Kahn
Katrina Kamm
Kearney Donovan &
McGee PC
Dr. Kathryn L. Kepes
Cynthia E. Knowles
Mary Pederson-Koenecke
Lake Research Partners
Dr. Robert S. Lavey
Colleen Lemoine
Margaret E. Lesher
Dr. Bonnie Lesley
Sharon Light
Frank P. Lloyd, Jr.
David Lockett
Maria Kuklinski-Long
Love Communications
Donna S. Lundy
M & R Strategic Services
Craig Malone
Maple City Florist
Brian A. Marlow
Jan A. McCaugherty
David McCoy
Michael Yakawich for Mayor
Sue Moats
Brian D. Monaghan
Montana City Grill
Verlena Mooney-Newell
Wendy P. Moran
Noel Company
M. Elizabeth Oates
Oncology Therapies of Vista
Dr. Melvin P. Palalay
Papa Joe's
35
Diane J. Phillips
Dr. John Pierce
Polo Ralph Lauren Corporation
The Port Of Oakland
David Pugach
Carol Richard
Marian Riggs-Gelb
Catherine A. Roberts
Neil J. Robertson
Megan Roether
Karin A. Root
Ropes & Gray, LLP
Steven C. Rother
Mary P. Rouvelas
Saal Family Foundation
Salon Buzz
Sanctuary Day Spa
Colleen Saringer
Jo-Anne Sessa
Sheraton LAX
Richard Simkins
Brett R. Skaugstad
Peter Slocum
Joseph Smith
Patricia L. Smith
Debbie Smolik
Dawn A. Snapp
Sonrisa Day Spa
Jerry Spoonemore
Ellen Stephenson
Donal P. Sullivan
Steven L. Swanson
James Sweeney
Donna Threlkeld
Tradewinds Resort
Stacy Truax
Turnkey Promotions
Janell K. Varga
Joseph Verga
Dr. Victor Vogel
Paula Warlick
Dr. W. Bedford Waters Sharon Basile Margaret S. Conlon Joseph Franco, Jr.
Kristine Weaver Mandi Bearsch Dr. Ricardo Crisostomo Dr. Seth Franklin
Terry Weir Kahle Becker Kevin J. Cullen Pete Fredriksen
Dr. Richard L. White Amanda T. Beeghly Jim Danek Dr. Harold P. Freeman
Sarah Wickens Carol Bell Lori Davies Tonnie Furjanic
Michael Wiesmann Selene Benitone Michael Davis Erik A. Gaikowski
Joseph L.Wikoff David Benson Dawson & Gerbiz LLP Ed & Eileen Gaiser
Thomas Williams Tracy M. Billows J.T. Dean Thenice Gall
Carolyn Williams-Goldman Catherine Blackstone Deeb Construction & David Andrew Geller
Karen J. Willis Blair Gastroenterology Development Kim Germino
Phylecia D. Wilson Associates Patrick Delaney Kara Gilligan
Mr. & Mrs. Stephen Winn Edward Boucher Dr. Vincent T. Devita, Jr. Mr. & Mrs. David W. Glidden
David Woodmansee Dr. Timothy K. Bowers Debra Dickson Donald M. Goldberg
Dick Woodruff Scott E. Boyle Lena Dobbs-Johnson Garrett Goldberg
Dr. Gerald Woolam Marcus Brewer James Doggett Jacob Goodman
Dr. G. Fred Worsham Dr. Samuel Britt Joyce J. Dolbec Dr. W. Jarrard Goodwin
Corinne Broderick Nancy Doucette Carole Granderson
Leaders Circle Keysha Brooks-Coley Tammy Droste Holly Grant
$250 to $499 Michelle L. Brown Laura S. Dudell Dr. Jon M. Greif
Karen R. Burnham Kimberly Dunlap Angelia Halaja-Henriques
195 Calvary Baptist Church Valerie Burniece John Dunn Deborah Hamilton
Dr. Jame Abraham John Cacciatore Dana Dzwonkowski Ken Hamm
Brian E. Adams Glenn A. Callahan Heather J. Eagleton M. Hansch
Mary Lou Adams Joan Cambray Toni Earl Senator Thomas F. Hansen
Jennifer L. Adzima Mark T. Carboni Dianne Earle Dottie Hargrove
American Legion Post 24 Charlotte Carpenter Claire M. Edgecomb Trista Hargrove
Kenneth M. Anderson Daniel Carroll David B. Ehrlich Robert E. Harrigan
Dr. Richard Anderson Kenann Cassidy Martha Einson Kyle D. Harris
David Aubrey Catholic Healthcare West Joann Elmore Dr. Lauralee Harris
Valerie M. Austin Center for Dermatology Dr. & Mrs. David Elson Alissa Havens
Dr. Mahapatra Ava Center For Orthopedic Kristi Farver-Oaks Andrew Headley
Patricia S. Avery Excellence Senator Mike Fasano Ellen Heier
Christie Badger Tiffany Chapman Rollin Fatland Paul C. Heintz
Carol L. Baker Chesterfield Quilt Group Nick Federici Lesley Helmich
Stephen Balfour Patti Clapp Linda W. Feldman Bart E. Hendricks
Cindy J. Ballard Tom Clark Stephen Finan Shari Henning
Sarah Barber Betty M. Clementz Barbara A. Findlay Robert F. Henninger, Jr.
Mr. Joseph Barbetta & Denna L. Cline Foland, Wickens, Eisfelder, Hidden Lake Winery
Ms. Megan Bagnulo Dr. Carmel J. Cohen Roper & Hofer, PC Pamela T. Higginson
Susan Barron Ira & Debra Jo Cohen Zachary & Lisa Fortsch Timothy Ho
Geoff Bartsh Renee Colvin Kenneth C. Francis Dr. Patricia Hoge
Dana Hopkins Nhia Lee Sarah Murphy Julie Reid Dr. Barry M. Sherman Dr. Michael H. Trujillo
Jon Hornaday Michael R. Leep, Sr. Jim Murray Ryan Reid April J. Sherry Jo Ann Tsark
Eunice A. Hostetter Wayne Lewis Peter Negri Erin Reidy William Sherry James Tupper
Jill Houk Marjorie Love Leslie Dr. Amy R. Nelson Restorative Light Therapies Janet Sikorski Martha Upchurch
Courtney Houser Alice Anne Loych Carrie Nelson Reynolds Iron Works, Inc. Burleigh L. Singleton Dr. Mark Vangorder
Lisa K. Howe Richard E. Ludwick Florenda Newton Linda Rhodes John & Nanette Skal Bennett Vanhouten
Howl at the Moon Michael J. Lumbra Dat Nguyen Jamie L. Riccobono Charles G. Smith David F. Veneziano
Scott Huizenga Dr. Daniel Lydiatt Clayton Nielsen Gail M. Richman Martin Smith Dr. Joe & Mrs. Karen
Jennifer Hunt Gloria Lynch Frank R. Nolimal Katie Riley Megan Smith Verdirame
Julie Hyer Nancy Mackenzie Shirley Olmsted Robert M Levy & Smith Bryan & Myers Inc. Denise Verosky
Suzanne Hyman Jason Maderer Cheryl Olsen Associates Inc. Russ Sobotta Stevie Vildibill
Ellen Israel Denyse M. Mahoney Melissa Olson Diane Roberts Scott Solomon Brenda Vreeke
Dr. Elaine Iuanow Joseph R. Mahoney Nick O'Neill Douglas B. Roberts Mary Spillane Lois Warden
J Catering Daniel P. Mallove Kimberly Orn John & Kerry Roberts Richard E. Spoonemore Kenlyn Watson
Katherine A. Janeway Kathy Mannello Johanna L. Owens Carol A. Roder Christopher Squier Margaret B. Weaver
Kristen Jeffers Denise M. Martin Sue Padernacht Dustin Roethel Dr. Laura St. Germain Donald Webster
August Johnson Penny Mathias Kristin Page-Nei Kimberly Rohan Donna Staudinger Dr. Mitch Weinberg
James S. Johnson Beverly May Park Nicollet Health Services Nancy Root Jack W. Steinmeyer Dr. George Weiner
Lila Rae Johnson Dr. Bill Mayer Dr. Edward E. Partridge Dr. Gerard Roseburrough Bill E. Strayk Steven Weiss
Philip W. Johnston Elizabeth McClain PartyLite Edwin Rosenblatt Mandy L. Stringer Jennifer M. Whip
Flora Jones Donna McCullough Dale Paruch Dr. David S. Rosenthal Julie A. Strzyzewski Kenneth A. Whitinger
Kate Karl Tommy McFly Susan Peek Lisa E. Roth James W. Stubner Lori Whitney
Carolyn Katzin Frank & Barbara McGrady Chris Perillo Jeffrey A. Roush D. Sullivan Patricia A. Williams
Julie Kellner Eileen T. McGrath Dr. Bruce A. Peterson Brad Rutledge Karen Sullivan Patricia Williams
Robert King Bobbie McKee Doug Peterson Charles L. Ryan Richard M. Sullivan Kristine Wilson
Rebecca A. Kirch Marc D. McKenney Larry Phillips Katie Ryan Sunlight Day Spa G. Van Velsor Wolf, Jr.
Michangelo Kittrell Dr. Thomas E. McMicken Ellen Phillips-Angeles Ed Sato Leonard R. Svensson Sieu Tang Wood
Dr. Howard Barry Kleckner Gary A. McMullen Mary E. Pierce Eugene Savio Dru C. Szczerba Kjestine Woods
Sam Kong Kee Medical X Ray Center PC Garry L. Pincock Vladimir Savransky Karina Donnelly Patricia R. Workman
Karl Kruger Rick Mellor Dr. Luis Pineda Nancy Scharfeld Patricia J. Tate James P. Yankovich
Debbie Kuehne Alicia M. Mendenhall Frances Popstojanovic-Holstrom Dr. Maryjean Schenk Angie Thies-Huber Young Professionals of Chicago
Victoria A. Kurak Sheppard F. Miers, Jr. Susie Pouliot Deborah Spence Schiro David Thomas Steve Zamzow
Lake View Athletic Club Jane E. Miller Michelle Power Linda C. Schmidt Eran Thompson Dr. Herb Zaretsky
Diane K. LaMont Barbara Mills Robert Prendergast Jan Schut Kevin J. Thompson Patricia L. Zoll
Linda Lang Stephen & Beverly Mills Randy Present Margo Scott Suanne L. Thurman
Martin R. Larsen Mary J. Milroy Dave Quintana Scheryl Scott April Tilles
David A. Lauer Robert Mitchell Dr. Derek Raghavan Susan Scott Beverly Tirado
Patricia L. Lawlor Karen Moffitt Linda Ramsey Dr. Kathy J. Selvaggi Rachel J. Townshend
David C. Lawrence Dr. James E. Montie Heather Rapp Cynthia Serna Kristine Travaglini
Eva Lean Barbara Morgan Sanjay Reddy Jacqueline R. Sharp Gilbert Trimble
J.J. Leari Robert O. Morris Laura Reeves Georgia Shelden Russ Trimble

36
CAN Opener

The annual CAN Opener brings together hundreds of activists and cancer survivors from across the
country to support ACS CAN. Equal parts rally and recognition, the event gives ACS CAN an
opportunity to honor leaders who have demonstrated exceptional strength in the fight against
cancer. In 2009, the CAN Opener hosted the third successful AmeriCAN Idol competition, which
showcased talent from American Cancer Society Divisions.

37
 special thanks

Listed below are individuals and organizations that helped make 2009 such a successful year in
advocacy. The list is by no means exhaustive, so an additional thank you is extended to those not
specifically mentioned. Please know that your contributions did not go unnoticed.

ACS CAN Board of Directors Colleges Against CancerSM Greg Bontrager Dollywood Gary M. Reedy
American Cancer Society National Making Strides Against Breast Cancer Otis W. Brawley, MD IKON Emanuel Rouvelas, Esq.
Board of Directors Relay For Life Lori Bremner Donna Kaufman Jim Satalin
American Cancer Society Division Dan Brodrick Eric Kracov, Esq. Bob Schieffer
Boards of Directors The House Cancer Caucus Chesterfield Quilt Group Robert R. Kugler, Esq. John R. Seffrin, PhD
State Lead Ambassadors The Honorable Lois Capps Jene Desmond-Harris, Esq. J. Len Lichtenfeld, MD, MACP Sheraton LAX
Ambassador Constituent Teams The Honorable Steve Israel Doug Demark Photography John Longstreth, Esq. Soapbox Consulting
American Cancer Society Staff The Honorable Sue Myrick The Honorable Ted Deutch Joni Lownsdale Gary Streit, Esq.
American Cancer Society Division Staff Brian Eberle, Esq. Kevin Malek, JD, PhD Ellen Stephenson
ACS CAN Staff The Senate Cancer Coalition Elizabeth T.H. Fontham, MPH, DrPH Summer Martin, Esq. Allison Stevens
The Honorable Diane Feinstein Thenice Ten Gall Marriott Courtyard Washington Josh Sundquist
Coaches vs. Cancer The Honorable Sam Brownback Georgetown Cupcake Convention Center Tradewinds Resort
Mike Brey, University of Notre Dame Justin Guilder, Esq. Tommy McFly Eric Taylor, MD
Ed DeChellis, Penn State University The AmeriCAN Idol Contestants Kaylee Hartung Karen Moffitt, PhD Robert E. Youle, Esq.
Oliver Purnell, Clemson University Jessica Hinkie, Esq. Natalie Morrison Phylecia Wilson
Tubby Smith, University of Minnesota Patty Avery The Honorable Hugh Holliman Ann Marie Morse Van Velsor Wolf
John Thompson III, Scott Baker, Esq. Michael Jacobson Terry Music David Zacks, Esq.
Georgetown University Stephen Baskin Daniel Jarcho, Esq. William OBrien, Esq.

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www.acscan.org